NPI | 1174809040 |
---|---|
Former Name | REBECCA ANNE ELLIOTT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: WA MC61474088) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60776411) |
101YM0800X Counselor, Mental Health (Licence: WA MC61474088) | |
Enumeration Date | 2011-10-24 |
Last Update Date | 2024-02-27 |